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Research ArticleOriginal Article
Open Access

Prevalence of immunoglobulin E sensitization to various inhaled allergens among the residents of the Northern United Arab Emirates

Automated evaluation of a membrane-based test system

Israa O. Yousif, Nazeerullah Rahamathullah, Nelofar S. Khan, Mohammad Mesbahuzzaman, Mohammed Abdulrazzaq, Fawzia A. AlObeidli and Praveen K. kandakurti
Saudi Medical Journal March 2025, 46 (3) 282-291; DOI: https://doi.org/10.15537/smj.2025.46.3.20240929
Israa O. Yousif
From the Department of Medical Laboratory Sciences (Yousif, AlObeidli); from the Department of Biomedical Sciences (Rahamathullah, Khan, Mesbahuzzaman); from Thumbay Research Institute for Precision Medicine (Rahamathullah); from the Department of Community Medicine (Abdulrazzaq), College of Medicine; and from the Department of Physiotherapy (kandakurti), College of Health Sciences, Gulf Medical University, Ajman, United Arab Emirates.
MSc
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Nazeerullah Rahamathullah
From the Department of Medical Laboratory Sciences (Yousif, AlObeidli); from the Department of Biomedical Sciences (Rahamathullah, Khan, Mesbahuzzaman); from Thumbay Research Institute for Precision Medicine (Rahamathullah); from the Department of Community Medicine (Abdulrazzaq), College of Medicine; and from the Department of Physiotherapy (kandakurti), College of Health Sciences, Gulf Medical University, Ajman, United Arab Emirates.
MSc, PhD
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  • ORCID record for Nazeerullah Rahamathullah
  • For correspondence: [email protected]
Nelofar S. Khan
From the Department of Medical Laboratory Sciences (Yousif, AlObeidli); from the Department of Biomedical Sciences (Rahamathullah, Khan, Mesbahuzzaman); from Thumbay Research Institute for Precision Medicine (Rahamathullah); from the Department of Community Medicine (Abdulrazzaq), College of Medicine; and from the Department of Physiotherapy (kandakurti), College of Health Sciences, Gulf Medical University, Ajman, United Arab Emirates.
MSc, PhD
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Mohammad Mesbahuzzaman
From the Department of Medical Laboratory Sciences (Yousif, AlObeidli); from the Department of Biomedical Sciences (Rahamathullah, Khan, Mesbahuzzaman); from Thumbay Research Institute for Precision Medicine (Rahamathullah); from the Department of Community Medicine (Abdulrazzaq), College of Medicine; and from the Department of Physiotherapy (kandakurti), College of Health Sciences, Gulf Medical University, Ajman, United Arab Emirates.
MD
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Mohammed Abdulrazzaq
From the Department of Medical Laboratory Sciences (Yousif, AlObeidli); from the Department of Biomedical Sciences (Rahamathullah, Khan, Mesbahuzzaman); from Thumbay Research Institute for Precision Medicine (Rahamathullah); from the Department of Community Medicine (Abdulrazzaq), College of Medicine; and from the Department of Physiotherapy (kandakurti), College of Health Sciences, Gulf Medical University, Ajman, United Arab Emirates.
MD, PhD
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Fawzia A. AlObeidli
From the Department of Medical Laboratory Sciences (Yousif, AlObeidli); from the Department of Biomedical Sciences (Rahamathullah, Khan, Mesbahuzzaman); from Thumbay Research Institute for Precision Medicine (Rahamathullah); from the Department of Community Medicine (Abdulrazzaq), College of Medicine; and from the Department of Physiotherapy (kandakurti), College of Health Sciences, Gulf Medical University, Ajman, United Arab Emirates.
MSc
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Praveen K. kandakurti
From the Department of Medical Laboratory Sciences (Yousif, AlObeidli); from the Department of Biomedical Sciences (Rahamathullah, Khan, Mesbahuzzaman); from Thumbay Research Institute for Precision Medicine (Rahamathullah); from the Department of Community Medicine (Abdulrazzaq), College of Medicine; and from the Department of Physiotherapy (kandakurti), College of Health Sciences, Gulf Medical University, Ajman, United Arab Emirates.
MPT, PhD
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    Figure 1

    - Frequency of patients sensitized to various inhaled allergens across different age groups of the study population based on immunoglobulin E antibody titer classes (1-5).

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    Figure 2

    - Prevalence of immunoglobulin E sensitization to 20 inhaled indoor and outdoor allergens represented in a descending manner.

Tables

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    Table 1

    - Immunoglobulin E status in the demographic subgroups of the study population (N=104).

    Patient’s age groupMale, n=61 (58.7)Female, n=43 (41.3)
    Ar, n=20 (32.8)NAr, n=41 (67.2)Ar, n=22 (51.2)NAr, n=21 (48.8)
    IgE +veIgE -veIgE +veIgE -veIgE +veIgE -veIgE +veIgE -ve
    n=13 (21.3)n=7 (11.5)n= 34 (55.7)n=7 (11.5)n=9 (20.9)n=13 (30.3)n=11 (25.6)n=10 (23.2)
    1-15 years, n=24 (23.1)3 (4.9)1 (1.6)9 (14.7)4 (6.5)1 (2.3)3 (6.97)3 (6.97)0 (0.0)
    16-30 years, n=32 (30.8)2 (3.3)2 (3.3)14 (22.9)0 (0.0)3 (7.0)4 (9.30)4 (9.30)3 (6.97)
    31-45 years, n=34 (32.7)7 (11.5)3 (4.9)8 (13.1)1 (1.6)4 (9.3)2 (4.65)3 (6.97)6 (13.95)
    45-60 years, n=10 (9.6)0 (0.0)0 (0.0)3 (4.9)1 (1.6)1 (2.3)3 (6.97)1 (2.32)1 (2.32)
    ≥61 years, n=4 (3.8)1 (1.6)1 (1.6)0 (0.0)1 (1.6)0 (0.0)1 (2.32)0 (0.0)0 (0.0)

    Values are presented as numbers and percentages (%). Ar: Arab, NAr: non-Arab, IgE: immunoglobulin E +ve: positive, -ve: negative

      • View popup
      Table 2

      - Frequency of single and multiple inhaled allergens in male and female patients of different age groups in both Arab and non-Arab study populations with varying classes of immunoglobulin E concentration.

      Patient’s age group (n=67)EthnicityM//FDifferent classes of IgE concentration (kU/l)
      1 (0.35≤sIgE<0.7 kU/l)2 (0.7≤sIgE<3.5 kU/l)3 (3.5≤sIgE<17.5 kU/l)4 (17.5≤sIgE<50.0 kU/l)5 (50≤sIgE<100 kU/l)
      1-15 (n=16)Ar (n=4)M (n=3)A. alternata, common ragweed (n=1; 6.3%) (2)A. fumigatus (n=1; 6.3%)C. albicans, D. pteronyssinus (n=1; 6.3%) (2)D. farinae (n=1; 6.3%)-
      F (n=1)C. albicans, A. alternata (n=1; 6.3%) (2)Mugwort, common ragweed, alder (n=1; 6.3%) (3)Oak (n=1; 6.3%)Timothy grass, cultivated rye, olive (n=1; 6.3%) (3)Birch (n=1; 6.3%)
      NAr (n=12)M (n=9)A. alternata (n=2; 12.5%), A. fumigatus, C. albicans, cockroach (n=1; 6.3%) (3)C. albicans (n=3; 18.8%), cat dander, D. pteronyssinus, cockroach, camel dander (n=1; 6.3%) (4)D. pteronyssinus (n=2; 12.5%), D. farinae (n=1; 6.3%)D. farinae (n=4; 25.0%), D. pteronyssinus (n=2; 12.5%)D. farinae, D. pteronyssinus (n=3; 18.8%)
      F (n=3)Common ragweed, mugwort (n=1; 6.3%) (2)Olive, C. albicans, D. pteronyssinus, D. farinae (n=1; 6.3%) (4)Oak, common ragweed (n=1; 6.3%) (2)D. pteronyssinus (n=2; 12.5%), D. farinae, alder, cultivated rye, birch, A. alternata (n=1; 6.3%) (5)D. farinae (n=1; 6.3%)
      16-30 (n=23)Ar (n=5)M (n=2)Cat dander (n=1; 4.3%)-D. pteronyssinus, D. farinae (n=1; 4.3%) (2)-Cat dander (n=1; 4.3%)
      F (n=3)Common ragweed (n=3; 13.0%)-Cat dander, dog dander (n=1; 4.3%) (2)Cat dander (n=1; 4.3%)D. pteronyssinus, D. farinae (n=1; 4.3%) (2)
      NAr (n=18)M (n=14)D. farinae, D. pteronyssinus, cockroach (n=3; 13.0%) (3), olive, cultivated rye, mugwort, C. albicans (n=2; 8.7%) (4), birch, common ragweed, A. alternata, timothy grass, oak, camel dander, horse dander (n=1; 4.3%) (7)C. albicans (n=2; 8.7%), timothy grass, cultivated rye, common ragweed, cockroach, mugwort, D. pteronyssinus, alder (n=1; 4.3%) (7)Cat dander (n=2; 8.7%), D. pteronyssinus, cultivated rye, olive, A. alternata, birch, D. farinae, camel dander, dog dander (n=1; 4.3%) (8)D. pteronyssinus, D. farinae, cat dander, timothy grass, cultivated rye, cockroach, dog dander (n=1; 4.3%) (7)D. farinae (n=3; 13.0%)
      F (n=4)P. notatum, A. alternata (n=1; 4.3%) (2)Camel dander, (n=1; 4.3%)-Cat dander (n=1; 4.3%)D. pteronyssinus (n=2; 8.7%), D. farinae (n=1; 4.3%)
      31-45 (n=22)Ar (n=11)M (n=7)Timothy grass (n=3; 13.6%), C. albicans, cultivated rye, cockroach, D. farinae, C. herbarium (n=1; 4.5%) (5)P. notatum, D. pteronyssinus (n=1; 4.5%) (2)D. farinae (n=1; 4.5%)D. pteronyssinus (n=3; 13.6%), D. farinae (n=1; 4.5%)D. pteronyssinus (n=1; 4.5%), D. farinae (n=3; 13.6%)
      F (n=4)Camel dander (n=2; 9.1%)---D. pteronyssinus, D. farinae (n=1; 4.5%) (2)
      NAr (n=11)M (n=8)C. albicans, A. alternata cockroach, D. pteronyssinus, olive, mag wort, oak, camel dander, C. herbarium, P. notatum (n=1; 4.5%) (10)A. fumigatus, common ragweed, olive, D. farinae, cat dander, alder (n=1; 4.5%) (6)Camel dander, cultivated rye (n=2; 9.1%) (2), cat dander, C. albicans, timothy grass (n=1; 4.5%) (3)D. pteronyssinus (n=2; 9.1%), D. farinae, birch, timothy grass (n=1; 4.5%) (3)D. farinae (n=3; 13.6%)
      F (n=3)A. alternata, D. pteronyssinus (n=1; 4.3%) (2)D. farinae (n=1; 4.5%)D. pteronyssinus, D. farinae cockroach (n=1; 4.5%) (3)--
      46-60 (n=5)Ar (n=2)F (n=2)D. pteronyssinus, D. farinae (n=1; 20.0%) (2)---Cockroach (n=1; 20.0%)
      NAr (n=3)M (n=3)Cockroach (n=2; 40.0%)D. pteronyssinus (n=1; 20.0%)Cat dander (n=1; 20.0%)D. farinae (n=2; 40.0%), cockroach (n=1; 20.0%)D. pteronyssinus (n=1; 20.0%)
      ≥61 (n=1)M (n=1)Ar (n=1)-Timothy grass, cultivated rye (n=1; 100%)---

      Values are presented as numbers and percentages (%). Concentration range classification: 1- very low antibody titer, frequently no clinical symptoms where sensitization is present; 2- low antibody titer, existing sensitization, frequently with clinical symptoms in the upper range of class; 3 - significant antibody titer, clinical symptoms usually present; 4 - high antibody titer, almost always with clinical symptoms; 5 - very high antibody titer and; 6 - very high antibody titer (≥100 kU/l). None of the serum samples did not have IgE antibodies more than ≥100 kU/l. n: number of samples, M: male, F: female, Ar: Arab, NAr: non-Arab

        • View popup
        Table 3

        - Allergen-specific sensitization according to gender, ethnicity, and age group.

        AllergenGenderEthnicityAge groups (years)
        1-1516-3031-4546-60≥61
        D. farinaeM (n=31)Ar (n=8)1 (2.4)1 ((2.4)6 (14.6)--
        NAr (n=23)8 (19.5)8 (19.5)5 (12.2)2 (4.9)-
        F (n=10)Ar (n=3)-1 (2.4)1 (2.4)1 (2.4)-
        NAr (n=7)3 (7.3)2 (4.9)2 (4.9)--
        D. pteronyssinusM (n=30)Ar (n=8)1 (2.5)1 (2.5)6 (15.0)--
        NAr (n=22)8 (20.0)7 (17.5)5 (12.5)2 (5.0)-
        F (n=10)Ar (n=3)-1 (2.5)1 (2.5)1 (2.5)-
        NAr (n=7)3 (7.5)2 (5.0)2 (5.0)--
        A. alternataM (n=5)Ar (n=1)1 (11.1)----
        NAr (n=4)1 (11.1)2 (22.2)1 (11.1)--
        F (n=4)Ar (n=1)1 (11.1)----
        NAr (n=3)1 (11.1)1 (11.1)1 (11.1)--
        C. albicansM (n=11)Ar (n=2)1 (7.7)-1 (7.7)--
        NAr (n=9)3 (23.0)4 (30.7)2 (15.4)--
        F (n=2)Ar (n=1)1 (7.7)----
        NAr (n=1)1 (7.7)----
        A. fumigatusM (n=3)Ar (n=1)1 (33.3)----
        NAr (n=2)1 (33.3)-1 (33.3)--
        F (n=0)Ar (n=0)-----
        NAr (n=0)-----
        Common ragweedM (n=4)Ar (n=1)1 (12.5)----
        NAr (n=3)-2 (5.0)1 (12.5)--
        F (n=4)Ar (n=2)1 (12.5)1 (12.5)---
        NAr (n=2)2 (5.0)----
        Timothy grassM (n=9)Ar (n=3)--2 (18.2)-1 (9.1)
        NAr (n=6)-4 (36.4)2 (18.2)--
        F (n=2)Ar (n=2)1 (9.1)-1 (9.1)--
        NAr (n=0)-----
        Cultivated ryeM (n=10)Ar (n=3)--2 (16.6)-1 (8.3)
        NAr (n=7)-5 (41.7)2 (16.6)--
        F (n=2)Ar (n=1)1 (8.3)----
        NAr (n=1)1 (8.3)----
        AlderM (n=2)Ar (n=0)-----
        NAr (n=2)-1 (25.0)1 (25.0)--
        F (n=2)Ar (n=1)1 (25.0)----
        NAr (n=1)1 (25.0)----
        MugwortM (n=3)Ar (n=0)-----
        NAr (n=3)-2 (40.0)1 (20.0)--
        F (n=2)Ar (n=1)1 (20.0)----
        NAr (n=1)1 (20.0)----
        OakM (n=3)Ar (n=0)-----
        NAr (n=3)-2 (40.0)1 (20.0)--
        F (n=2)Ar (n=1)1 (20.0)----
        NAr (n=1)1 (20.0)----
        BirchM (n=3)Ar (n=0)-----
        NAr (n=3)-2 (40.0)1 (20.0)--
        F (n=2)Ar (n=1)1 (20.0)----
        NAr (n=1)1 (20.0)----
        Cat danderM (n=9)Ar (n=2)-2 (16.6)---
        NAr (n=7)1 (8.3)3 (25.0)2 (16.6)1 (8.3)-
        F (n=3)Ar (n=2)-2 (16.6)---
        NAr (n=1)-1 (8.3)---
        CockroachM (n=12)Ar (n=1)--1 (7.1)--
        NAr (n=11)2 (14.3)5 (35.7)1 (7.1)3 (21.4)-
        F (n=2)Ar (n=1)---1 (7.1)-
        NAr (n=1)--1 (7.1)--
        OliveM (n=6)Ar (n=0)-----
        NAr (n=6)-4 (50.0)2 (25.0)--
        F (n=2)Ar (n=1)1 (12.5)----
        NAr (n=1)1 (12.5)----
        Camel danderM (n=6)Ar (n=0)-----
        NAr (n=6)1 (10.0)2 (20.0)3 (30.0)--
        F (n=4)Ar (n=2)--2 (20.0)--
        NAr (n=2)-2 (20.0)---
        Dog danderM (n=2)Ar (n=0)-----
        NAr (n=2)-2 (66.6)---
        F (n=1)Ar (n=1)-1 (33.3)---
        NAr (n=0)-----
        Horse danderM (n=1)Ar (n=0)-----
        NAr (n=1)-1 (100)---
        F (n=0)Ar (n=0)-----
        nAr (n=0)-----
        P. notatumM (n=2)Ar (n=1)--1 (33.3)--
        NAr (n=1)--1 (33.3)--
        F (n=1)Ar (n=0)-----
        NAr (n=1)-1 (33.3)---
        C. herbariumM (n=2)Ar (n=1)--1 (50.0)--
        NAr (n=1)--1 (50.0)--
        F (n=0)Ar (n=0)-----
        NAr (n=0)-----

        Values are presented as numbers and percentages (%). M: male, F: female, Ar: Arab, NAr: non-Arab

          • View popup
          Table 4

          - Prevalence of immunoglobulin E sensitization to various inhaled indoor and outdoor allergens according to the gender and ethnicity.

          AllergensPrevalences (n=67)MalesFemalesArabsNon-ArabsP-values/ORs
          D. farinae41 (61.2)31 (46.3)10 (14.9)11 (16.4)30 (44.8)0.005/3.410
          D. pteronyssinus40 (59.7)30 (44.8)10 (14.9)11 (16.4)29 (43.3)0.007/3.162
          Cockroach14 (20.8)12 (17.9)2 (3.0)2 (3.0)12 (17.9)0.027/5.020
          C. albicans13 (19.4)11 (16.4)2 (3.0)3 (4.5)10 (14.9)0.042/4.510
          Cultivated rye12 (17.9)10 (14.9)2 (3.0)4 (6.0)8 (11.9)0.065/4.020
          Cat dander12 (17.9)9 (13.4)3 (4.5)4 (6.0)8 (11.9)0.065/4.02
          Timothy grass11 (16.4)9 (13.4)2 (3.0)5 (7.4)6 (9.0)0.099/3.548
          Olive8 (11.9)6 (9.0)2 (3.0)1 (1.5)7 (10.4)0.328/2.236
          Camel dander10 (14.9)6 (9.0)4 (6.0)2 (3.0)88 (11.9)0.928/1.064
          A. alternata9 (13.4)5 (7.4)4 (6.0)2 (3.0)7 (10.4)0.843/0.871
          Common ragweed8 (11.9)4 (6.0)4 (6.0)3 (4.5)5 (7.4)0.933/0.936
          Mugwort5 (7.4)3 (4.5)2 (2.9)1 (1.5)4 (6.0)0.681/1.439
          Oak5 (7.4)3 (4.5)2 (3.0)1 (1.5)4 (6.0)0.950/1.060
          Birch5 (7.5)3 (4.5)2 (3.0)1 (1.5)4 (6.0)0.950/1.060
          Alder4 (6.0)2 (3.0)2 (3.0)1 (1.5)3 (4.5)0.720/0.695
          A. fumigatus3 (4.5)3 (4.5)0 (0.0)1 (1.5)2 (3.0)0.498/2.172
          Dog dander3 (4.4)2 (3.0)1 (1.5)1 (1.5)2 (3.0)0.231/0.967
          P. notatum3 (4.4)2 (3.0)1 (1.5)1 (1.5)2 (3.0)0.775/1.424
          C. herbarium2 (3.0)2 (3.0)0 (0.0)1 (1.5)1 (1.5)0.231/0.967
          Horse dander1 (1.5)1 (1.5)0 (0.0)0 (0.0)1 (1.5)0.399/0.984

          Values are presented as numbers and percentages (%). OR: odd ratio

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          Prevalence of immunoglobulin E sensitization to various inhaled allergens among the residents of the Northern United Arab Emirates
          Israa O. Yousif, Nazeerullah Rahamathullah, Nelofar S. Khan, Mohammad Mesbahuzzaman, Mohammed Abdulrazzaq, Fawzia A. AlObeidli, Praveen K. kandakurti
          Saudi Medical Journal Mar 2025, 46 (3) 282-291; DOI: 10.15537/smj.2025.46.3.20240929

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          Prevalence of immunoglobulin E sensitization to various inhaled allergens among the residents of the Northern United Arab Emirates
          Israa O. Yousif, Nazeerullah Rahamathullah, Nelofar S. Khan, Mohammad Mesbahuzzaman, Mohammed Abdulrazzaq, Fawzia A. AlObeidli, Praveen K. kandakurti
          Saudi Medical Journal Mar 2025, 46 (3) 282-291; DOI: 10.15537/smj.2025.46.3.20240929
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          © 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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